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Total Ankle Arthroplasty Templating: Preoperative Computer Templating Correlates Highly with Intraoperative Component

Robert J Teasdall1, Bryanna D Vesely1, Taylor R Wood1

  • 1Department of Orthopaedic Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
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Summary
This summary is machine-generated.

Preoperative computer templating for total ankle arthroplasty is accurate for implant sizing. This study confirms its reliability, ensuring better surgical outcomes and guiding future research in ankle replacement procedures.

Keywords:
AnkleArthroplastyPreoperative templatingTotal ankle arthroplastyX-ray imaging

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Area of Science:

  • Orthopaedic Surgery
  • Biomedical Engineering
  • Radiology

Background:

  • Total ankle arthroplasty (TAA) success depends on precise implant alignment and sizing.
  • Preoperative computer templating is standard for knee and hip replacements but less established for TAA.
  • Accurate preoperative planning is crucial for optimizing TAA outcomes.

Purpose of the Study:

  • To evaluate the accuracy of preoperative computer templating for total ankle arthroplasty.
  • To assess the precision of implant size selection using AP and lateral radiographs.
  • To establish the reliability of computer templating in TAA preoperative planning.

Main Methods:

  • Retrospective review of 70 total ankle arthroplasties over 10 years.
  • Computer templating applied to AP and lateral standing radiographs.
  • Comparison of templated component sizes with operative reports and postoperative radiographs.
  • Statistical analysis using Interclass Correlation Coefficients (ICC).

Main Results:

  • ICC values indicated accurate tibial component templating from both AP (0.80) and lateral (0.786) radiographs.
  • ICC values demonstrated accurate talar component templating from both AP (0.842) and lateral (0.809) radiographs.
  • No significant difference in templating accuracy between AP and lateral views for tibial or talar components.

Conclusions:

  • Preoperative computer templating for total ankle arthroplasty is a precise method for determining appropriate implant sizing.
  • Both AP and lateral radiographic views provide reliable data for templating TAA components.
  • This study validates computer templating as an essential tool for TAA, supporting its use in future research and clinical practice.